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THE VIETNAM SYNDROME: A BRIEF HISTORY<br />

To these analysts, it seemed possible to think of the veterans as new and different<br />

sorts of patients, those whose psychological illness was the result of the stresses they<br />

experienced in war. Furthermore, these analysts found it possible to argue that a war<br />

whose origins, conduct, and expected outcome were so controversial that it would<br />

engender more psychological casualties than wars of a more straightforward kind. 7 None<br />

of this was correct, but during the 1970s some facts appear to have been inconvenient<br />

in American public discourse. 8<br />

One symptom of the post-Vietnam syndrome was advertised as new and dangerous:<br />

these traumatic reactions were delayed, not showing themselves for months or even<br />

years after the traumatic event. Further, these reactions could supposedly occur without<br />

warning, at any time. The New York Times published a story in 1975 of a case in which a<br />

Vietnam veteran was convicted of murdering his wife. The veteran’s defence was that he<br />

had been startled awake by a combat flashback and had instinctively pulled the gun from<br />

under his pillow and defended himself. An unsympathetic jury gave him life in prison.<br />

Citing statistics gathered during what he called a ‘comprehensive series of stories’ in<br />

Penthouse magazine, the journalist Tom Wicker informed the readers of his column in<br />

The New York Times that as many as 500,000 of the 2.5 million Vietnam veterans had<br />

attempted suicide, conveying the impression that every vet was deranged. 9 News like<br />

this routinely appeared during the 1970s, and Hollywood discovered Rambo as well.<br />

Throughout the decade, the American public was engaged in highly complex<br />

negotiations with the memory of the war in Vietnam. The process by which the<br />

Vietnam veteran became a metaphor for the nation as a whole began very soon after<br />

President Nixon ordered the withdrawal of American forces. In January, 1970, Lifton<br />

and several other prominent psychiatrists were called to testify before the Senate on the<br />

care and treatment of wounded Vietnam veterans. Lifton devoted his testimony to the<br />

‘psychological predicament of the Vietnam Veteran’. Although Lifton did not employ<br />

7. US Congress, Senate, Committee on Labor and Human Resources, Oversight of Medical Care of Veterans<br />

Wounded in Vietnam, Hearings before the Subcommittee on Veterans’ Affairs, 91st Cong., 2nd Sess; 27<br />

January 1970: 498-9. (Hereinafter cited as ‘Lifton Testimony’.) Lifton drew precisely this corollary in<br />

testimony before the Senate.<br />

8. Several contemporary studies are summarised in Burkett and Whitley, Stolen Valor, 141-51. Wars have<br />

long known psychological casualties. Modern military medicine had itself hardly come of age before<br />

taking notice of such casualties. From the Russo-Japanese War onward, the medical services of most<br />

advanced armies struggled to understand psychological distress due to combat. The psychological<br />

casualties produced by the Vietnam War were not inordinately high; by one count, those amounted to<br />

roughly half of those produced by World War II American troops—a fact reported once more in 1975<br />

by David Lamb, ‘Vietnam Veterans Melting into Society’, Los Angeles Times, 3 November 1975. See<br />

also Captain R. L. Richards’ precocious article, ‘Mental and Nervous Diseases in the Russo-Japanese<br />

War’, The Military Surgeon XXVI (1910), 177-93. For a brief introduction to this subject, see my ‘Shell<br />

Shock’, American Heritage 41: 4 (May/June, 1991), 75-87.<br />

9. Tom Wicker, ‘The Vietnam Disease’, The New York Times, 27 May 1975, 29.<br />

5

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